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Efficacy and Safety of Dapagliflozin in Combination With Glimepiride (a Sulphonylurea) in Type 2 Diabetes Patients

Registration Number
NCT00680745
Lead Sponsor
AstraZeneca
Brief Summary

This study is being carried out to see if dapagliflozin in addition to glimepiride (sulphonylurea) is effective and safe in treating patients with type 2 diabetes when compared to glimepiride alone.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
597
Inclusion Criteria
  • Type 2 Diabetes
  • Treatment with a stable sulphonylurea monotherapy dose that is at least half the maximal recommended dose for a minimum of 8 weeks prior to study
  • Inadequate glycaemic control, defined as A1C ≥ 7.0 % and ≤ 10%
Exclusion Criteria
  • Type 1 Diabetes
  • Hepatic (liver) impairment
  • Renal (kidney) failure or dysfunction

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1pioglitazone hydrochloridedapagliflozin 2.5mg + Glimepiride
1Rosiglitazonedapagliflozin 2.5mg + Glimepiride
2dapagliflozindapagliflozin 5mg + Glimepiride
2Glimepiridedapagliflozin 5mg + Glimepiride
2pioglitazone hydrochloridedapagliflozin 5mg + Glimepiride
3pioglitazone hydrochloridedapagliflozin 10mg + Glimepiride
4GlimepiridePlacebo + Glimepiride
4metformin hydrochloridePlacebo + Glimepiride
4pioglitazone hydrochloridePlacebo + Glimepiride
1dapagliflozindapagliflozin 2.5mg + Glimepiride
1Glimepiridedapagliflozin 2.5mg + Glimepiride
1metformin hydrochloridedapagliflozin 2.5mg + Glimepiride
2metformin hydrochloridedapagliflozin 5mg + Glimepiride
3dapagliflozindapagliflozin 10mg + Glimepiride
2Rosiglitazonedapagliflozin 5mg + Glimepiride
3Glimepiridedapagliflozin 10mg + Glimepiride
3metformin hydrochloridedapagliflozin 10mg + Glimepiride
3Rosiglitazonedapagliflozin 10mg + Glimepiride
4RosiglitazonePlacebo + Glimepiride
Primary Outcome Measures
NameTimeMethod
Adjusted Mean Change in HbA1c LevelsBaseline to Week 24

To assess the efficacy of dapagliflozin compared to placebo as add-on therapy to glimepiride in improving glycemic control in participants with type 2 diabetes, as determined by the change in HbA1C levels from baseline to the end of the 24-week double-blind treatment period.

Secondary Outcome Measures
NameTimeMethod
Proportion of Participants Achieving Glycemic Response Defined as HbA1c <7%At Week 24

To show that dapagliflozin plus glimepiride results in a larger proportion of participants achieving a therapeutic glycemic response, defined as HbA1c \< 7% after 24 weeks of treatment, compared to placebo plus glimepiride.

Adjusted Mean Change in Body WeightBaseline to Week 24

To show that dapagliflozin plus glimepiride results in greater reduction in body weight or less weight gain after 24 weeks of treatment when compared to placebo plus glimepiride.

Adjusted Mean Change in 2-h Post-challenge Plasma Glucose RiseBaseline to Week 24

To show that dapagliflozin plus glimepiride results in greater reductions in the 2-h post-challenge plasma glucose rise as a response to an oral glucose tolerance test (OGTT) from baseline to Week 24.

Adjusted Mean Change in Body Weight for Participants With Baseline Body Mass Index (BMI)≥27 kg/m2Baseline to Week 24

To show that dapagliflozin plus glimepiride results in greater reductions in body weight or less weight gain in participants with baseline BMI ≥27 kg/m2 after 24 weeks of treatment when compared to placebo plus glimepiride.

Adjusted Mean Change in Fasting Plasma Glucose (FPG)Baseline to Week 24

To show that dapagliflozin plus glimepiride leads to greater reductions in FPG after 24 weeks of treatment compared to placebo plus glimepiride.

Trial Locations

Locations (1)

Research Site

🇺🇦

Zaporozhye, Ukraine

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